Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.94 / $493.94 / $493.94	Facility		$493.94	$493.94	$493.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.39 / $493.94 / $610.48	Professional		$407.39	$493.94	$610.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $516.36 / $535.84 / $862.12	Professional		$516.36	$535.84	$862.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.85 / $591.85 / $591.85	Facility		$591.85	$591.85	$591.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.24 / $582.21 / $1,006.07	Professional		$468.24	$582.21	$1,006.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,125.39 / $1,125.39 / $1,125.39	Facility		$1,125.39	$1,125.39	$1,125.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $551.15 / $705.15 / $1,055.29	Professional		$551.15	$705.15	$1,055.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $509.70 / $945.11	Professional		$441.95	$509.70	$945.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.15 / $926.89 / $1,303.09	Professional		$564.15	$926.89	$1,303.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $591.85 / $591.85 / $591.85	Facility		$591.85	$591.85	$591.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $468.24 / $583.91 / $1,005.29	Professional		$468.24	$583.91	$1,005.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $508.31 / $508.31 / $508.31	Facility		$508.31	$508.31	$508.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $449.29 / $508.60 / $528.89	Professional		$449.29	$508.60	$528.89
United Facility/Professional Professional Modifier Low / Median / High Price $405.12 / $511.49 / $889.10	Professional		$405.12	$511.49	$889.10